Are medical ethicists out of touch? Practitioner attitudes in the US and UK towards decisions at the end of life.

Abstract:

OBJECTIVES:To assess whether UK and US health care professionals share the views of medical ethicists about medical futility, withdrawing/withholding treatment, ordinary/extraordinary interventions, and the doctrine of double effect. DESIGN, SUBJECTS AND SETTING:A 138-item attitudinal questionnaire completed by 469 UK nurses studying the Open University course on "Death and Dying" was compared with a similar questionnaire administered to 759 US nurses and 687 US doctors taking the Hastings Center course on "Decisions near the End of Life". RESULTS:Practitioners accept the relevance of concepts widely disparaged by bioethicists: double effect, medical futility, and the distinctions between heroic/ordinary interventions and withholding/withdrawing treatment. Within the UK nurses' group a "rationalist" axis of respondents who describe themselves as having "no religion" are closer to the bioethics consensus on withholding and withdrawing treatment. CONCLUSIONS:Professionals' beliefs differ substantially from the recommendations of their professional bodies and from majority opinion in bioethics. Bioethicists should be cautious about assuming that their opinions will be readily accepted by practitioners.

journal_name

J Med Ethics

authors

Dickenson DL

doi

10.1136/jme.26.4.254

keywords:

subject

Has Abstract

pub_date

2000-08-01 00:00:00

pages

254-60

issue

4

eissn

0306-6800

issn

1473-4257

journal_volume

26

pub_type

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